Invasive

Cervical Resorption—Distribution, Potential Predisposing

Factors, and Clinical Characteristics

Author: Jeng et al. Year: 2020 Journal: JOE

Aim
- 1st: to assess the distribution and potential predisposing factors of ICR- affected patients in a Taiwanese
population.
- 2nd: to investigate the clinical features of ICR to understand its evolution.

Materials & Methods
- Cases between 2009 and 2019 were collected at National Taiwan University Hospital.
- Patients over 10 years of age and diagnosed with ICR with different PAs angulations were included.
- All collected cases were screened by 1 endo resident and 2 endodontists to confirm the presence of ICR.
- The clinical records and radiographs of the confirmed cases were reviewed to gather the demographic
information, potential predisposing factors, and clinical characteristics.

Results
- 31 patients with a total of 63 ICR-affected teeth were included in the final analysis.
- No significant difference was found in sex distribution (45 % men, 55% women).
- The peak age group was between 50 and 59. (range from 18–81 years).
- Single ICR cases were more common than multiple ICR cases.
- MAX teeth (76.2%) were more prone to ICR than MAN teeth (23.8%).
- MAX anterior teeth (47.6%) were the most commonly affected followed by MAX premolars (20.6%).
- The potential predisposing factors were categorized into 2 groups:
A) systemic condition
- 22 patients (71 %) and 42 teeth (66.7%) were not related to any of the systemic diseases.
- Hypertension was found in 4 patients (12.90%)
- Thyroid or parathyroid disorder was found in 3 patients (9.68%) and 11 teeth (17.46%)
- Anemia was found in 2 patients (6.45%)
- Diabetes was reported in 1 patient (3.23%)
B) Dental-related factors
- Dental or orofacial trauma (33.3%) - Prior periodontal treatment (27%)
- Restoration/ crown (17.5%) - Orthodontic treatment (15.9%)
- Extraction of a neighboring tooth (7.9%) - > 3 missing teeth (8%)
- Moderate to severe attrition (3.2%) - External tooth bleaching (1.6%)
- Root canal perforation (1.6%) - No tooth had a history of internal tooth bleaching.
- The main reasons for the discovery of ICR among the 31 patients were a chief complaint of symptoms
(48.4%) and clinical/ radiographic findings (51.6%).

Conclusion
- Traumatic injury, periodontal treatment, and orthodontic treatment were the significant predisposing
factors. Affected teeth typically lacked clinical signs and symptoms. In advanced cases, deep pockets and
abscess formation were seen.
Authors
Po-Yuan Jeng, Li-Deh Lin, Shu-Hui Chang, Yuan-Ling Lee, Cheng-Ying Wang, Jiiang-
Huei Jeng & Yi-Ling Tsai
By Dr. Theeb Alquria

Reference: Jeng PY, Lin LD, Chang SH, Lee YL, Wang CY, Jeng JH, Tsai YL. InvasiveCervical Resorption-Distribution, Potential
Predisposing Factors, and Clinical Characteristics. J Endod. 2020 Apr;46(4):475-482.